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I can understand why they would want people to have a score of 4 for swallowing (because they obviously don't want a patient to choke on the tablets or have any discomfort while swallowing them) but perhaps check with your neurologistist whether you have been scored a 3 or 4 so far?

I found an online version of the scale and it says a score of 3 is 'early eating problems - occasional choking' (I can't remember if this is the version currently used by the NHS though?):-

An initial pilot study of 60 patients showed some promising results (TUDCA significantly delayed the degeneration of motor neurons by about one third) - and in light of this, a possible outcome of the trial could be that taking TUDCA in addition to Riluzole will slow down progression of the disease more effectively than taking Riluzole alone.

Hi all,
As with all clinical trials, the end timescale is always going to be longer as a rule due to not getting the numbers required, i'm on the mirocals trial and up to january they only had just over 100 of the near 250 they want.
With regards to TUDCA, although the trial has criteria to be involved with it, they are testing a common supplement available to anyone! This is a liver detox supplement used for many years by bodybuilders and other sporting peolle in general who have taken other substances such as steroids ect which can be toxic and harmful on the liver and wider body as a whole. This supplement is safe, pretty cheap comparatively and, more importantly if you go online and read what it actually does inside our bodies you would be forgiven for thinking that this was made for treating MND. The clinical trial is for4 250mg capsules to be taken 10-15 mins after meals twice daily (8 capsules per day).
Whether you qualify under the stipulations of the drug corporation or not, any one of us can take this ourselves!!! 💪